Effectiveness of Shacklock’s Neural Mobilization for Acute & Sub-Acute Lumbar Disc Prolapsed: A Randomized Controlled Trial

Abstract

Background: Lumbar disc prolapsed is a common cause of low back pain and radicular leg pain and neural mobilization is a newly developed approach that mobilize the nerves and reduce the symptoms of patients with LBP. Purpose: To find out the effectiveness of Shacklock’s neural mobilization for acute and sub-acute lumbar disc prolapsed. Methodology: A double blinded randomized control trial were conducted, whereas 43 participants selected randomly by hospital based randomization among the patients who were attending Centre for the rehabilitation of the paralysed (CRP), Savar and Mirpur in a specific period of time. Then computer generated random number allocated 21 participants assign to experimental group and 22 participants to control group. Experimental group received Shacklock’s neural mobilization along with usual physiotherapy intervention, however control group received only usual physiotherapy intervention. Data was collected by using structured questionnaire related to LBP and disability. Socio-demographic data were collected by a semi-structured questionnaire. Data was analyzed by using SPSS software version 24.0 which focused through column, pie chart, line diagram and paired t-test and also unrelated t-test, chi-square test and Mann-Whitney-U test. Results: A significant improvement of pain in different position and disability were demonstrated in within group analysis by paired t-test whereas, no significant improvement found in between group analysis by independent sample t test. Conclusion: It is concluded that neural mobilization is not effective for acute and sub-acute lumbar disc prolapsed. Key words: PLID, Neural Mobilization, Usual Physiotherapy.